Tramadol is synthetic opioid so it is a narcotic per say(fentanyl, sufenta, alfentanil etc are all synthetic opioids), but is highly receptor specific so there is very little problem with respiratory depression, dependence etc.
The Smithsonian Institution (/smÉªÎ¸ËsoÊniÉn/ smith-SOE-nee-Én), established in 1846 for the increase and diffusion of knowledge, is a group of museums and research centers administered by the Government of the United States.
Dr. David J. Skorton is the 13th Secretary of the Smithsonian. He assumed his position July 1, 2015.